Active NPI
Gerry M Hippensteel, M.D.
- Internal Medicine Physician
- Vincennes, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01025674A
- Practice address
- 406 N 1St St
Vincennes, IN 47591-1340 - Phone
- (812) 885-0680
- Fax
- (812) 882-0630
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01025674A | IN | Primary |
| Medical Oncology Physician | 207RX0202X | 01025674A | IN |
Addresses
Primary practice location
406 N 1St St
Vincennes, IN 47591-1340
Mailing address
406 N 1St St
Vincennes, IN 47591-1340
Phone (812) 885-0680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100332680A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Physician Services, Inc | Internal Medicine | Current | Accepting new patients |
| Good Samaritan Hospital | Current | Accepting new patients | |
| Good Samaritan Hospital | Current | Accepting new patients | |
| Good Samaritan Hospital | Past | Accepting new patients |
Locations
406 N 1st St
Ste J
Vincennes, IN 47591
Phone (812) 882-4694
520 S 7th St
Unit Er
Vincennes, IN 47591
Phone (812) 885-3292
615 Dubois St
Vincennes, IN 47591
Phone (812) 885-8010
1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064
429 S 6th St
Vincennes, IN 47591
Phone (812) 882-3280
406 N 1st St
Vincennes, IN 47591
Phone (812) 882-1106
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
514 S 9th St
Vincennes, IN 47591
Phone (812) 885-6990
Interoperability endpoints
- ghippensteel32682@direct.deaconess.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Vincennes, IN
- NPI 1649432071
Internal Medicine
-
- Clinic/Center
- Vincennes, IN
- NPI 1639176373
-
- Rural Health Clinic/Center
- Vincennes, IN
- NPI 1760145973
-
- Rural Health Clinic/Center
- Vincennes, IN
- NPI 1952064164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1356319115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 N 1ST ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911340",
"telephone_number": "812-885-0680",
"fax_number": "812-882-0630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 N 1ST ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911340",
"telephone_number": "812-885-0680",
"fax_number": "812-882-0630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIPPENSTEEL",
"first_name": "GERRY",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01025674A",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "IN",
"license": "01025674A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100332680A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.